How much does CT abdomen & pelvis, with & without contrast cost in California?
CPT 74178 — the fair price, every hospital's price, and the Medicare benchmark for California.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
74178 CT abdomen & pelvis, with & without contrast
Ask to pay
$714
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
Typical
$4,327
Medicare $357
Ask $714
$56 lowboxed = typical rangehigh $40,054
What Medicare paysⓘ
$357
Typical price near you
$4,327
Cash / self-pay price
$4,472
Prices near you — 92 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Adventist Health Bakersfield (Bakersfield) lowest ⚠ likely error | Hospital | $56cash | 0.2× | — |
| Eisenhower Medical Center (Rancho Mirage) | Hospital | $222cash | 0.6× | ★★★★★ |
| Natividad Medical Center (Salinas) | Hospital | $312cash | 0.9× | — |
| Centinela Hospital Medical Center (Inglewood) | Hospital | $446cash | 1.2× | — |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $474negotiated | 1.3× | ★★★★★ |
| Harbor-UCLA Medical Center (Torrance) | Hospital | $484negotiated | 1.4× | — |
| Los Angeles General Medical Center (Los Angeles) | Hospital | $488negotiated | 1.4× | ★★★★★ |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $490negotiated | 1.4× | ★★★★★ |
| Pomona Valley Hospital Medical Center (Pomona) | Hospital | $525cash | 1.5× | ★★★★★ |
| Hoag Memorial Hospital Presbyterian (Newport Beach) | Hospital | $602negotiated | 1.7× | ★★★★★ |
| Dignity St. Joseph's Medical Center (Stockton) | Hospital | $1,132cash | 3.2× | — |
| UCI Health – Los Alamitos (Los Alamitos) | Hospital | $1,536cash | 4.3× | — |
| UCI Health – Placentia Linda (Placentia) | Hospital | $1,536cash | 4.3× | — |
| UCI Medical Center (Orange) | Hospital | $1,536cash | 4.3× | ★★★★★ |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $1,536cash | 4.3× | — |
| Adventist Health Simi Valley (Simi Valley) | Hospital | $1,605cash | 4.5× | — |
| Loma Linda University Medical Center – Murrieta (Murrieta) | Hospital | $1,673cash | 4.7× | — |
| Adventist Health Glendale (Glendale) | Hospital | $1,811cash | 5.1× | ★★★★★ |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $1,996cash | 5.6× | — |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $2,018cash | 5.6× | — |
| Dignity Mercy General Hospital (Sacramento) | Hospital | $2,042cash | 5.7× | ★★★★★ |
| Scripps Mercy Hospital Chula Vista (Chula Vista) | Hospital | $2,362cash | 6.6× | — |
| Scripps Mercy Hospital San Diego (San Diego) | Hospital | $2,362cash | 6.6× | ★★★★★ |
| Scripps Memorial Hospital Encinitas (Encinitas) | Hospital | $2,362cash | 6.6× | ★★★★★ |
| Scripps Green Hospital (La Jolla) | Hospital | $2,362cash | 6.6× | ★★★★★ |
| Scripps Memorial Hospital La Jolla (La Jolla) | Hospital | $2,362cash | 6.6× | ★★★★★ |
| USC Arcadia Hospital (Arcadia) | Hospital | $2,424cash | 6.8× | — |
| John Muir Health Concord Medical Center (Concord) | Hospital | $2,459cash | 6.9× | — |
| John Muir Health Walnut Creek Medical Center (Walnut Creek) | Hospital | $2,459cash | 6.9× | ★★★★★ |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $2,461cash | 6.9× | ★★★★★ |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $2,508cash | 7.0× | ★★★★★ |
| Dignity Mercy San Juan Medical Center (Carmichael) | Hospital | $2,567cash | 7.2× | — |
| Adventist Health White Memorial (Los Angeles) | Hospital | $2,781cash | 7.8× | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $2,880cash | 8.1× | ★★★★★ |
| Providence Mission Hospital (Mission Viejo) | Hospital | $2,915cash | 8.2× | ★★★★★ |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $2,919cash | 8.2× | — |
| Providence St. Joseph Hospital (Orange) | Hospital | $3,144cash | 8.8× | ★★★★★ |
| UCSF Medical Center (San Francisco) | Hospital | $3,149cash | 8.8× | ★★★★★ |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $3,253cash | 9.1× | — |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $3,262cash | 9.1× | — |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) | Hospital | $3,310cash | 9.3× | — |
| Loma Linda University Medical Center (Loma Linda) | Hospital | $3,452cash | 9.7× | ★★★★★ |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $3,624cash | 10.1× | — |
| Dignity Bakersfield Memorial Hospital (Bakersfield) | Hospital | $3,743cash | 10.5× | — |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $4,140cash | 11.6× | — |
| Dignity Northridge Hospital Medical Center (Northridge) | Hospital | $4,327cash | 12.1× | ★★★★★ |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $4,353cash | 12.2× | — |
| Stanford Health Care Tri-Valley (Pleasanton) | Hospital | $4,392cash | 12.3× | — |
| Kaiser Permanente Fontana Medical Center (Fontana) | Hospital | $4,472cash | 12.5× | — |
| Kaiser Permanente Los Angeles Medical Center (Los Angeles) | Hospital | $4,472cash | 12.5× | ★★★★★ |
| Kaiser Permanente San Diego Zion Medical Center (San Diego) | Hospital | $4,472cash | 12.5× | ★★★★★ |
| Tri-City Medical Center (Oceanside) | Hospital | $4,579cash | 12.8× | — |
| Highland Hospital – Alameda Health System (Oakland) | Hospital | $4,840cash | 13.6× | — |
| Providence Queen of the Valley Medical Center (Napa) | Hospital | $5,068cash | 14.2× | — |
| UC Davis Medical Center (Sacramento) | Hospital | $5,084cash | 14.2× | ★★★★★ |
| Sharp Memorial Hospital (San Diego) | Hospital | $5,337cash | 14.9× | ★★★★★ |
| Sharp Coronado Hospital (Coronado) | Hospital | $5,337cash | 14.9× | ★★★★★ |
| Sharp Chula Vista Medical Center (Chula Vista) | Hospital | $5,337cash | 14.9× | — |
| Sharp Grossmont Hospital (La Mesa) | Hospital | $5,337cash | 14.9× | ★★★★★ |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $5,692cash | 15.9× | ★★★★★ |
| Kaweah Health Medical Center (Visalia) | Hospital | $6,371cash | 17.8× | — |
| Clovis Community Medical Center (Clovis) | Hospital | $6,503cash | 18.2× | — |
| Community Regional Medical Center (Fresno) | Hospital | $6,503cash | 18.2× | — |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $6,596cash | 18.5× | — |
| Kaiser Permanente Sacramento Medical Center (Sacramento) | Hospital | $6,602cash | 18.5× | ★★★★★ |
| Kaiser Permanente San Francisco Medical Center (San Francisco) | Hospital | $6,602cash | 18.5× | ★★★★★ |
| Kaiser Permanente Fresno Medical Center (Fresno) | Hospital | $6,602cash | 18.5× | — |
| Rady Children's Hospital (San Diego) | Hospital | $6,928cash | 19.4× | — |
| UCI Health – Lakewood (Lakewood) | Hospital | $7,327cash | 20.5× | — |
| Stanford Health Care (Stanford) | Hospital | $7,710cash | 21.6× | ★★★★★ |
| Los Robles Health System (Thousand Oaks) | Hospital | $8,514cash | 23.8× | — |
| Lucile Packard Children's Hospital Stanford (Palo Alto) | Hospital | $8,842cash | 24.8× | — |
| Sutter Alta Bates Summit Medical Center (Oakland) | Hospital | $8,994cash | 25.2× | — |
| Sutter Memorial Medical Center (Modesto) | Hospital | $8,994cash | 25.2× | — |
| Sutter Medical Center Sacramento (Sacramento) | Hospital | $8,994cash | 25.2× | ★★★★★ |
| Sutter Santa Rosa Regional Hospital (Santa Rosa) | Hospital | $8,994cash | 25.2× | — |
| Sutter Roseville Medical Center (Roseville) | Hospital | $8,994cash | 25.2× | ★★★★★ |
| Sutter Mills-Peninsula Medical Center (Burlingame) | Hospital | $8,994cash | 25.2× | ★★★★★ |
| Sutter CPMC Van Ness Campus (San Francisco) | Hospital | $8,994cash | 25.2× | — |
| Sutter Eden Medical Center (Castro Valley) | Hospital | $8,994cash | 25.2× | — |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $9,797cash | 27.4× | — |
| Dignity Dominican Hospital (Santa Cruz) | Hospital | $10,389cash | 29.1× | — |
| JFK Memorial Hospital (Indio) | Hospital | $10,951cash | 30.7× | — |
| Desert Regional Medical Center (Palm Springs) | Hospital | $11,046cash | 30.9× | — |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $11,304cash | 31.7× | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $11,304cash | 31.7× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $11,304cash | 31.7× | ★★★★★ |
| Keck Hospital of USC (Los Angeles) | Hospital | $11,588cash | 32.4× | ★★★★★ |
| Cedars-Sinai Medical Center (Los Angeles) | Hospital | $13,332cash | 37.3× | ★★★★★ |
| Riverside University Health System Medical Center (Moreno Valley) | Hospital | $14,428cash | 40.4× | — |
| Riverside Community Hospital (Riverside) gross charge | Hospital | $29,473cash | 82.5× | — |
| Good Samaritan Hospital (San Jose) gross charge | Hospital | $40,054cash | 112.2× | — |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 3 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 74178 (CT abdomen & pelvis, with & without contrast), Medicare's benchmark rate is $357.13. A fair self-pay target for this line is $714.26. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 74178 is $4,472.00, and negotiated rates at nearby facilities run $2,362.50–$7,613.90. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See CT abdomen & pelvis, with & without contrast prices in another area
What should 74178 cost in California?
For CT abdomen & pelvis, with & without contrast (CPT 74178) in California, a fair self-pay price is around $4,327, with hospitals ranging from $2,362 to $7,614 across 92 facilities. Medicare's benchmark rate is $357, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does CT abdomen & pelvis, with & without contrast cost in California?
A fair self-pay price for CT abdomen & pelvis, with & without contrast (CPT 74178) in California is around $4,327, with hospital prices ranging from $2,362 to $7,614 across 92 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 74178?
Medicare pays about $357 for CT abdomen & pelvis, with & without contrast (CPT 74178). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of CT abdomen & pelvis, with & without contrast?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.